HomeMy WebLinkAboutPermit Building 2010-6-18
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00695
ISSUED: 06/18/2010
APPLIED: OS/28/2010
EXPIRES: 12/18/2010
VALUE: $ 13,493.00
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 [nspection Line
SITE ADDRESS: 878 S 32ND PL
ASSESSOR'S PARCEL NO.: 1802062105621
",.. ." "';Sp~'ingfield TYPE OF WORK: Single Family Residence
" .' ~.
," TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Residential
Owner: COOK BRUCE C & HELEN B
Address: 878 S 32ND PL
SPR[NGFIELD OR 97478
Phone Number: 54[-654-0956
I CONTRACTOR [NFORMATlON ~
Contractor Type
General
Contractor
OWNER
, License
Expiration Date Phone
,--
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Typ~:
# of Bedrooms:
~ENt10M: MD
~1Cl'H rill" ~
~ca\lon ~t
... OAR 952-
~'lO\lrn
"";iI\119 ':'~
_rnbIC aBA''"' la _
.I DEVELOPMENT [NFORMATlON, ~
Lot Size: 6,098
Sq Ft [st Floor: 144
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
. Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Description
Type of Construction
I PUBLIC [MPR~VEMENTS ~ ",<",,,i'+~'\'::;:"
, Sidewa~kr:rJ:p-,~:t~1:~~'O~'&"~~
, -,;' 5" "" PO\V~~'p~~t'\~~' ~()\ ~::
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\\\)~\Ct'. ~~ S,,~~~?- ,,,\'b \'~~t~ ~~~/~'J'
'0.\S ?t~ x.~ 'U~f;j ~ ~'Ot..~f;j . .; ,.' ',"
ot.?-\()
Valuation Des Q\l-'l { ,
$ Per SqiFfd i'::...' l~~uare Footage
or mu,Ii'i.J1iieri~};t\j'!; .olrlBid Amount
Street [mprovemeuts:
Storm Sewer Available:
Special Instruction:
Notes:
Value
Date Calculated
.D!..~~::
':If)
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Paee 1 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
SFlDuplex
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Estimate
R-3 VB 1&2 Familv
".. ",: ,$1.00
$'96.83
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fire SF Fee - Residential
Plan Review Residential
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
Storm Sewer - 1 st 100'
Total Amount Paid
Initial Review
Plannin2 Review
Public Works Review
Structural Review
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CITY OF SPRINGFIELD
Building/Combination Permit
.;,
PERMIT NO: COM2010-00695
ISSUED: 06/18/2010,
APPLIED: OS/28/2010
EXPIRES: 12/18/2010
VALUE: $ 13,493.00
10,000.00
144.00
$10,000.00
$13,943.52
$23,943.52
OS/28/2010
06/01/2010
Total Value of Project
~
Amount Paid' .
$88.40"'1<,'
$39.60"/:"';
$16.50i~: ::",
$79.00"
$175.00
$7.20
$23.25
$4.02
$17.49
$62.90
$76.00
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Date Paid
Receipt Number
$589.36
. t Plan Reviews I
06/01/2010
06/01/2010
.' 5/28/10
6/18/10
6/18/10
6/18/10
6/18/10
6/18/10
6/18/10
6/18/10
6/18/10
6/]8/10
",.,6/18/10
120]000000000000586
120]000000000000729
1201000000000000729
1201000000000000729
120]000000000000729
]20]000000000000729
]20]000000000000729
]20]000000000000729
]201000000000000729
]201000000000000729
]201000000000000729
06/0112010
06/07/2010
06/07/2010
06/07/2010
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APP LLH
APP
APP
DDK
LKW
No Planning Issues
Storm water to tie into existing
system
06/01/2010
064]8/2010". ,APP CJC
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As noted on plans
To Request an inspection call the 24 hour':r,~~ordiiig at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Ue(]lIirecUnsn~ctions ,
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete. placement.
Floor Insulation: Prior to decking.
....~;_. .
Oi"
Shear Wall Nailing: Before covering sheathing with finish'materials.
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Framing Inspection: Prior to cover and after"all rough in inspections have be~n approved.
Wall Insulation: Prior to cover.
Paee 2 of 3
CITY OF SPRINGFIELD
>;..~ ,: ... I"
Building/Combination Permit
Status
Issued
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PERMIT NO: COM2010-00695
ISSUED: 06/18/2010
APPLIED: OS/28/2010
EXPIRES: 12/18/2010
VALUE: $ 13,493.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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"'",';
Ceiling Insulation: Prior to cover.
Perimeter Foundation Draius: After gravel and filter cloth is installed but prior to backfill.
Final Plumbing: When all plumbing work is .~omplete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical. 'Y;orqs complete:'
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have been requested and approved and the bnilding is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furtheX"c.t:rtifY,t~~t any and all work p~rformed shall be done in accordance with
the Ordinances of the City of Springfield and the Lli"s of'ih'1,~State' Of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structu:~~iYitho,~.i, permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are.in compliance with ORS 701.005 will he used on this project.
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1 further agree to ensure that all required inspectiori's are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
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Date
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SPRINGFIELD I-~
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[)EPARTMENT USE ONLY
COwIZOI 0-006?
Penn it no.:
,structural Permit Application
'-
225 Fifth Street. Springfield, OR 97477. PH(54 ])726-3753. FAX(541)726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for180 days.
;': ';?~;,LT6CALT(:;9S,i~@M!=r,jlji'~ReR-Oye;l!iil8~!~!~i~~'t~j
This project has final land-use approval.
Signature:
This project has DEQ approval.
Signature:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
i12i:'}:;"F;;l.:",('::,('1:i'fl'.li,c-C'~<'A"-' 'T'" 'E'G' "0' ";'R-Y'~frO-' "-=""'C"O"'''N'''"'S''T"RPU'''''-C'' T'IO"'""'N-<~'<t:;h'h.';;.""",;;"~~~,~",,
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esidential D Government 0 Commercial
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Date:
Date:
Job site address:
....
~
City:
Subdivision:
Reference:
Taxlot:/8-cl2.-q:,.-oa, S
'., PROPERTY gWNER .....
Name:
Address:
State: oR..
Fax:
ZIP:'11'/78
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CONTRAqOR I~STAlLLA'rION,. "
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Business name:
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
;~~~~~;:'~:~;:f(j;:l\'f~:~~t~Sl.J~:-G~Nmt=<At:tOR}I.ft~.or{M:J,:t{QJ~~~{R;;~\~!f;~J~1t~y;S
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
~..~~
.:"';>'.:"~"'''.''!c.'<l'':FEE ,SCH~PUCE'-''';(:;.')'!.\';t'''''' . ,.
~l'::,Mat_~~:~Jo'fifi~'i~t"rtnl)j_9)~~::i~~Jlrj~~~';t~Y~~,~~;iM\',~;~;g;;}iii.f~~~rl:lj/~f;!~~Yi;-~fi;>
A ~~IIIO~
iL3
Construction type: V D
Square feet: J ...,.., S; .'F.
Cost per square foot:
(a) Job description:
Occupancy
Other information:
Type of Heat: ~~ <-
E~ergy Path:
D new 0 alteration ~addition
(b) Foundation-only permit? DYes D No
Total valuation:
0/
$ I 0 ~l
;:r2'r~Bu'Hdin 'g':fe'es~~~~~\€I{jl~~~t~~,~~:fr~l~~i~:~;,,:,;,;:'i:t.~.:, ,:f/!}./,:';;.'~,<,/;'t':"""! ' J,.;', It' 1-,1 rr-
"0"'" .,__~ .u"......... . ~'. _J';:,."S>".,. ,..",,. __.,sj1o/,l.,.~..T.."...._",~,....--.--,. ,.'.'_. __,~. ,~, .! ,.<".,i.K't'r,....vr'.
(a) Permit fee (use valuation table): $ ___-
(b) Investigative fee (equal to [2a]): $
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
(e) Subtotal of fees above (2a through 2d): $
}~~:jn~9;~rey.t~'f~~~1i{~r:if~~iff~~fr~~~~W~~~~%~;~~~rhit%i~;~, 0
(a) Plan review (65% x permit fee [2a]): $ ~ U
(b) Fire and life safety (40% x permit fee [2a]): $
'(c). Subtotal of fees above (3. and 3b): $
\t:f'~T'MI~~~H~.;b;9:~$lf~~~Y,~~!~~i3;\f:~t{t;fA~~t:JJ::ti;': ~;_.~-~~;; ';'it:' .<. ';".'.
(a) Seismic fee, 1% (.01 x permit fee f2a}):
$
TOTAL fees and surcharges (2e+3c+4a): $
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225 Fifth Str~et
Springfield; Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000729
Date: 06/18/2010
3: II :49PM
Job/Journal Number
COM20 10-00695
COM20 I 0-00695
COM2010-00695
COM2010-00695
COM20 1 0-00695
COM20 I 0-00695
COM20 I 0-00695
COM20 I 0-00695
COM20 10-00695
COM2010-00695
Payments:
Type of Payment
CreditCard
cReceintl
Description
Plan Review Residential
Fire SF Fee - Residential
SDC Storm - Improvement
SDC Storm - Reimbursement
SDC Sanitary/Storm Admin
Building Permit
Storm Sewer - 1st 100'
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
DA VID SCHMITZ
"
Amount Due
23.25
7.20
17.49
62.90
4.02
175.00
76.00
79.00
39.60
16.50
$500.96
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
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j.;;_~:;., '~w.J,:Jtt:-~; .
Y'~:~'7~'" . ',;l;~ .' ,
~F'<;:~" \;tt'..<
"I~~:':'f'" "
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$500.96
$500.96
718111 In Person
Payment Total:
. U.~
""...,';:/;'.
'''_~rt;~.J,j.. ~l-'- #~(l;"
.J!~i{: l';':;r~;:'i:
Page I of I
6118/20 I 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000586
Date: OS/28/2010
2:32:23PM
Job/Journal Number
C0M20 10-00695
Payments:
Type of Payment
CreditCard
cReceint 1
Description
Plan Review Residential
Paid By
DAVID SCHMITZ
Item Total:
Check Number Authorizatio~
Received By Batch Number Number How Received
Amount Due
88.40
$88.40
Amount Paid
djb
618213 In Person
Payment Total:
$88.40
$88.40
Page 1 ofl
5/28/2010